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1.
Summary The aim of this study was to calculate the magnitude of the instantaneous muscular power output at the hip, knee and ankle joints during ergometer cycling. Six healthy subjects pedalled a weight-braked bicycle ergometer at 120 watts (W) and 60 revolutions per minute (rpm). The subjects were filmed with a cine camera, and pedal reaction forces were recorded from a force transducer mounted in the pedal. The muscular work at the hip, knee and ankle joint was calculated using a model based upon dynamic mechanics described elsewhere. The mean peak concentric power output was, for the hip extensors, 74.4 W, hip flexors, 18.0 W, knee extensors, 110.1 W, knee flexors, 30.0 W and ankle plantar flexors, 59.4 W. At the ankle joint, energy absorption through eccentric plantar flexor action was observed, with a mean peak power of 11.4 W and negative work of 3.4 J for each limb and complete pedal revolution. The energy production relationships between the different major muscle groups were computed and the contributions to the total positive work were: hip extensors, 27%; hip flexors, 4%; knee extensors, 39%; knee flexors, 10%; and ankle plantar flexors 20%.  相似文献   

2.
Summary The aim of the study was to calculate the magnitude of the instantaneous muscular power output at the hip, knee and ankle joints during ergometer cycling at different work loads and speeds. Six healthy subjects pedalled a weight-braked cycle ergometer at 0, 120 and 240 W at a constant speed of 60 rpm. The subjects also pedalled at 40, 60, 80 and 100 rpm against the same resistance, giving power outputs of 80, 120, 160 and 200 W respectively. The subjects were filmed with a cine-film camera, and pedal reaction forces were recorded from a force transducer mounted in the pedal. The muscular work for the hip, knee and ankle joint muscles was calculated using a model based upon dynamic mechanics and described elsewhere. The total work during one pedal revolution significantly increased with increased work load but did not increase with increased pedalling rate at the same braking force. The relative proportions of total positive work at the hip, knee and ankle joints were also calculated. Hip and ankle extension work proportionally decreased with increased work load. Pedalling rate did not change the relative proportion of total work at the different joints.  相似文献   

3.
Persistence of motor adaptation during constrained, multi-joint, arm movements   总被引:11,自引:0,他引:11  
We studied the stability of changes in motor performance associated with adaptation to a novel dynamic environment during goal-directed movements of the dominant arm. Eleven normal, human subjects made targeted reaching movements in the horizontal plane while holding the handle of a two-joint robotic manipulator. This robot was programmed to generate a novel viscous force field that perturbed the limb perpendicular to the desired direction of movement. Following adaptation to this force field, we sought to determine the relative role of kinematic errors and dynamic criteria in promoting recovery from the adapted state. In particular, we compared kinematic and dynamic measures of performance when kinematic errors were allowed to occur after removal of the viscous fields, or prevented by imposing a simulated, mechanical "channel" on movements. Hand forces recorded at the handle revealed that when kinematic errors were prevented from occurring by the application of the channel, recovery from adaptation to the novel field was much slower compared with when kinematic aftereffects were allowed to take place. In particular, when kinematic errors were prevented, subjects persisted in generating large forces that were unnecessary to generate an accurate reach. The magnitude of these forces decreased slowly over time, at a much slower rate than when subjects were allowed to make kinematic errors. This finding provides strong experimental evidence that both kinematic and dynamic criteria influence motor adaptation, and that kinematic-dependent factors play a dominant role in the rapid loss of adaptation after restoring the original dynamics.  相似文献   

4.
The muscle component of the force applied to a bicycle pedal (foot force) by seated humans provided insight into the organization of the motor system. Healthy adults (n=11) pedaled a stationary cycle ergometer while attempting to match peak foot force magnitude to visually presented force targets (200, 250, ..., 650 N). Pedaling cadence was maintained at 60 rpm by a motor. Measurements of the foot force, pedal angle, and crank angle were recorded. The experimental design and data analysis allowed the isolation of the muscle component of the foot force from the contributions due to gravity and inertia. A graphical representation of the muscle component of the foot force (force path) was created for each of several crank angles throughout the extension phase of the pedaling cycle. The force paths showed several highly conserved characteristics across participants and crank angles. Each force path occupied a narrow range in force space despite the ability of the participants to produce force in a wide region of force space. Three control strategies were observed in the geometry of the force paths. Eighty five percent of the force paths were linear for six of the participants, and 79% of the force paths had second-order curvature for the other five participants. The curvature was concave to the posterior for four of the participants and concave to the anterior for one participant. The linear force paths were consistent with the previously reported linear nature of the force paths for pushes against a quasi-static pedal. The observation of simple force path geometry for two tasks with dissimilar dynamic characteristics suggests that this aspect of foot force control may be common to a range of lower limb tasks and may reflect a mechanism by which the nervous system organizes the control of foot force. Electronic Publication  相似文献   

5.
6.
文题释义:跑:跑是双脚交替接触地面的周期性运动,但跑有一个双脚都离开地面的腾空期。幼儿在 1 岁多开始学习跑步,最初是走跑结合的移动方式,由于身体发育不完善,下肢力量弱,平衡能力差,容易摔倒;到 2.5岁,幼儿跑步的腾空阶段明显;到 6岁,早期跑步的特点基本消失。 着地方式:指的是人体在跑步着地阶段足部接触地面的方式,一般分为3种方式:分别为足跟着地(fore foot strike),跟骨先接触地面;全足着地(mid foot strike),全脚掌着地,即足跟与前足同时接触地面;前足着地(rear foot strike):前足部首先接触地面。 背景:成年人跑步着地方式一直是国内外学者研究的重点,而幼儿跑步的着地方式也是不容忽视的内容。 目的:运用生物力学方法探究幼儿在跑步过程中,不同着地方式下的运动学和动力学指标的差异,为幼儿正确的跑步着地方式提供科学依据。 方法:在北京市海淀区某公立幼儿园中随机抽取幼儿74名,按年龄分为3岁组、4岁组、5岁组,采用BTS红外动作捕捉系统、Kistler三维测力台和VIXTA录像解析系统同步采集幼儿跑步过程中不同着地方式下的运动学、动力学数据;运用Anybody 5.2仿真建模软件计算下肢肌肉力量指标。试验前向受试者父母详细解释并签署知情同意书,试验方案符合北京师范大学的相关伦理要求。 结果与结论:①3岁组全足着地的比例最高,足跟着地的比例最低,5岁组全足着地的比例最低,足跟着地的比例最高;前足着地者的蹬伸时间大于足跟着地(P < 0.01)和全足着地(P < 0.05);②着地时刻,踝屈曲角度足跟着地者大于前足着地(P < 0.01)和全足着地者(P < 0.05),全足着地者大于前足着地(P < 0.05);前足着地者髋内收-外展角度、最大髋内收-外展角、髋内-收外展的关节变化量及最大膝内收-外展角速度大于足跟着地(P < 0.01)和全足着地者(P < 0.05);前足着地者的踝屈伸最小值大于足跟着地者(P < 0.05),而最大髋内收-外展角速度小于足跟着地者(P < 0.05);③足跟着地和全足着地者的腓骨短肌、腓骨长肌、第三腓骨肌的肌力大于前足着地者(P < 0.05),前足着地者的股中间肌、股外侧肌下束、股外侧肌上束、股内侧肌下束、股内侧肌上束、股内侧肌中束肌力均大于足跟着地(P < 0.01)和全足着地者(P < 0.05);④结果提示:在3-6岁阶段,幼儿多采用足跟或全足着地模式进行奔跑,以满足自己在跑步过程的稳定性,随着年龄的增长,逐渐出现前足着地方式的跑步模式;前足着地能够动用更多髋关节和膝关节额状面的运动来维持人体运动中的稳定,足跟着地和全足着地能够动用更多的小腿前侧和后侧的肌力,而前足着地动用更多的大腿前侧肌力。 ORCID: 0000-0002-8337-3931(赵盼超) 中国组织工程研究杂志出版内容重点:组织构建;骨细胞;软骨细胞;细胞培养;成纤维细胞;血管内皮细胞;骨质疏松;组织工程  相似文献   

7.
目的 分析太极拳转体与弓步动作中下肢关节活动顺序性、肌肉力表现和肌肉激活程度的差异,揭示太极拳转体动作的特征。 方法 募集 20 名练习时长超过 3 年的健康太极拳练习者,采用三维运动捕捉系统、测力台和表面肌电同步采集转体与弓步两种动作运动学、动力学和肌肉激活信息,并通过 OpenSim 仿真软件获取下肢肌力。结果 与弓步相比,转体动作髋、踝关节外旋幅度显著增大;膝关节外展和外旋力矩显著增大,股二头肌、半腱肌和内外侧腓肠肌峰值肌力显著增强,股二头肌、内外侧腓肠肌峰值肌力时刻显著提前,而股内外侧肌和胫骨前肌峰值肌力显著减小,胫骨前肌肌力最早达到峰值;股二头肌、股内外侧肌和内侧腓肠肌的平均激活水平和激活时间显著增加。 结论 太极拳转体动作由踝、髋关节依次转动组成,肌肉力表现的独特性在于重心两次转移致使支撑腿内外侧肌力曲线呈双峰型,因为全足着地延迟方式引发了腓肠肌与股四头肌激活顺序和肌肉平均激活水平改变。研究结果提示全足着地延迟方式具有调节肌肉激活顺序的作用,合理利用有助于提升临床康复效果。  相似文献   

8.
Activity patterning of the three agonist muscles (rectus femoris, vastus medialis, vastus lateralis) and one antagonist muscle (semimembranosus) was investigated during static knee extension. Male physical education students performed maximal and submaximal exertions in two test postures with different hip and knee positions corresponding to the postures used in our previous leg extension study. The character of the force curves was found in both postures to be convex with maximum peak force at 120 degrees. The supine posture changed the length of the two-joint muscles so as to produce an ordinary type of force curve. In the recumbent posture the efficient angles of the hip and knee joints did not match, thereby causing more plateau-like maximum peak force. All the agonists worked as a group and were highly activated throughout the entire range of the extension movement. The influence of postural variation also on the activity patterning could be seen in the latter half of the knee extension movement. The recumbent posture decreased whereas the supine posture maintained or tended even to increase the agonist activity. The difference is possibly due to the changing length of the two-joint muscles (rectus femoris and semimembranosus). Though the IEMG-force ratio of the agonist muscles was always nonlinear, the increased curvilinear relationship of the rectus femoris in the recumbent posture fits in with the view that in such conditions the central control system attempts to extend the hip joint. The results indicated that the two-joint muscles work like a single-joint muscle but, at the same time, control muscle coordination in single-joint knee extension movement.  相似文献   

9.
We studied the patterns of EMG activity in elbow muscles in three normal human subjects. The myoelectrical activity of 7-10 muscles that act across the human elbow joint was simultaneously recorded with intramuscular electrodes during isometric joint torques exerted over a range of directions. These directions included flexion, extension, varus (internal humeral rotation), valgus (external humeral rotation), and several intermediate directions. The forces developed at the wrist covered a range of 360 degrees, all orthogonal to the long axis of the forearm. The levels of EMG activity were observed to increase with increasing joint torque in an approximately linear manner. All muscles were active for ranges less than 360 degrees and most were active for less than 180 degrees. The EMG activity was observed to vary in a systematic manner with changes in torque direction and, when examined over the full angular range at a variety of torque levels, is simply scaled with increasing torque magnitude. There were no torque directions or torque magnitudes for which a single muscle was observed to be active alone. In all cases, joint torque appeared to be produced by a combination of muscles. The direction for which the EMG of a muscle reached a maximum value was observed to correspond to the direction of greatest mechanical advantage as predicted by a simple mechanical model of the elbow and relevant muscles. Muscles were relatively inactive during varus torques. This implies that the muscles were not acting to stabilize the joint in this direction and could have been allowing ligaments to carry the load. Plots of EMG activity in one muscle against EMG activity in another demonstrate some instances of pure synergies, but patterns of coactivation for most muscles are more complicated and vary with torque direction. The complexity of these patterns raises the possibility that synergies are determined by the task and may have no independent existence. Activity in two heads of triceps brachii (medial head--a single-joint muscle and long head--a two-joint muscle) covaried closely for a range of torque magnitudes and directions, though shoulder torque and hence the forces experienced by the long head of the triceps undoubtedly varied. The similarity of activation patterns indicates that elbow torque was the principal determining factor. The origins of muscle synergies are discussed. It is suggested that they are best understood on the basis of a model which encodes limb torque in premotor neurons.(ABSTRACT TRUNCATED AT 400 WORDS)  相似文献   

10.
The stiffness that is measured at the hand of a multijoint arm emerges from the combined effects of the elastic properties of the muscles and joints, the geometry of the linkages and muscle attachments, and the neural control circuits that act on the arm. The effective stiffness of a nonlinear linkage such as a two-joint arm depends on the force acting on the system as well as the intrinsic stiffness of the actuators. This paper presents an analysis of the factors that affect limb stiffness, including the effects of external forces. Three potential strategies for controlling the stability of the limb are proposed and demonstrated by computer simulations. The predictions from the simulations are then compared experimentally with measured stiffness values for human subjects working against an external force. These experiments were directed toward understanding what strategies are used by the CNS to control limb stiffness and stability. The experimental evidence showed that human subjects must increase the stiffness at the joints in order to maintain limb stability in the presence of applied external forces at the hand. In the process we identified a precise role for muscles which span two or more joints in the control of overall limb stiffness. A local strategy may be used to achieve limb stability, in which the muscle stiffness increases with muscle force. Multijoint muscles are shown to provide mechanical couplings which are necessary for the maintenance of stability. By utilizing these muscles, the neuro-musculo-skeletal system can control a global property of the system (stability) with a passive local strategy.  相似文献   

11.
Muscle fatigue affects muscle strength and postural control. However, it is not known whether impaired postural control after fatiguing muscular exercise depends on the nature of the muscle contraction. To answer this question, the present study analyzes changes in postural control after two fatiguing exercises of equal duration and intensity but that induced different magnitudes of strength loss. The effects of fatiguing contractions of the femoris quadriceps were compared for voluntary muscular contraction (VOL) and neuromuscular electrical stimulation (ES) on muscle strength and postural control. Seventeen subjects completed these two fatiguing exercises. Maximal voluntary contraction (MVC) and postural control were recorded using an isokinetic dynamometer and a force platform that recorded the center of foot pressure. Recordings were performed before and after the completion of both fatiguing tasks. Results indicate that, after a fatiguing exercise, the ES exercise affected MVC more than the VOL exercise. Inversely, postural control was disturbed more after VOL exercise than after ES exercise. In conclusion, postural control disturbance is influenced by the nature of the muscular contraction (voluntary vs. non-voluntary) and the type of the motor unit solicited (tonic vs. phasic) rather than by the magnitude of strength loss.  相似文献   

12.
The effect of stance width on postural responses to 12 different directions of surface translations was examined. Postural responses were characterized by recording 11 lower limb and trunk muscles, body kinematics, and forces exerted under each foot of 7 healthy subjects while they were subjected to horizontal surface translations in 12 different, randomly presented directions. A quasi-static approach of force analysis was done, examining force integrals in three different epochs (background, passive, and active periods). The latency and amplitude of muscle responses were quantified for each direction, and muscle tuning curves were used to determine the spatial activation patterns for each muscle. The results demonstrate that the horizontal force constraint exerted at the ground was lessened in the wide, compared with narrow, stance for humans, a similar finding to that reported by Macpherson for cats. Despite more trunk displacement in narrow stance, there were no significant changes in body center of mass (CoM) displacement due to large changes in center of pressure (CoP), especially in response to lateral translations. Electromyographic (EMG) magnitude decreased for all directions in wide stance, particularly for the more proximal muscles, whereas latencies remained the same from narrow to wide stance. Equilibrium control in narrow stance was more of an active postural strategy that included regulating the loading/unloading of the limbs and the direction of horizontal force vectors. In wide stance, equilibrium control relied more on an increase in passive stiffness resulting from changes in limb geometry. The selective latency modulation of the proximal muscles with translation direction suggests that the trunk was being actively controlled in all directions. The similar EMG latencies for both narrow and wide stance, with modulation of only the muscle activation magnitude as stance width changed, suggest that the same postural synergy was only slightly modified for a change in stance width. Nevertheless, the magnitude of the trunk displacement, as well as of CoP displacement, was modified based on the degree of passive stiffness in the musculoskeletal system, which increased with stance width. The change from a more passive to an active horizontal force constraint, to larger EMG magnitudes especially in the trunk muscles and larger trunk and CoP excursions in narrow stance are consistent with a more effortful response for equilibrium control in narrow stance to perturbations in all directions.  相似文献   

13.
This second paper of the series deals with another issue regarding sensorimotor representations in the CNS that has received much attention, namely the relative weighting of kinematic and kinetic representations. The question we address here is the contribution of muscle tension afferent information in dorsal spinocerebellar tract (DSCT) sensory representations of foot position. In five anesthetized cats, we activated major hindlimb muscle groups using electrical stimulation of ventral root filaments while passively positioning of the left hind foot throughout its workspace. In general, as the parameters of the joint angle covariance planes indicated, muscle stimulation did not significantly change hindlimb geometry. We analyzed the effects of the muscle stimulation on DSCT neuronal activity within the framework of a kinematic-based representation of foot position. We used a multivariate regression model described in the companion paper, wherein indicators of the experimental condition were added as firing rate predictors along with the limb axis length and orientation to account for possible effects of muscle stimulation. The results indicated that the response gain of 35/59 neurons studied (59%) was not changed by the muscle activations, although most neurons showed some change in their overall firing level with stimulation of one or more muscles. Most of the neurons responded to pseudorandom stimulation of the same muscle groups with complex temporal patterns of activity. For a subpopulation of 42 neurons, we investigated the extent to which their representation of foot position was affected by a rigid constraint of the knee joint and at least one type of muscle stimulation. Although they could be divided into four subgroups based on significance level cutoffs for the constraint or stimulation effect, these effects were in fact quite distributed. However, when we examined the preferred directions of spatial tuning relative to the limb axis position, we found it was unchanged by muscle stimulation for most cells. Even in those cases in which response gain was altered by muscle stimulation, the cell's preferred direction generally was unaltered. The invariance of preferred direction with muscle stimulation lead us to the conclusion that the reference frame for DSCT coding may be based primarily on limb kinematics.  相似文献   

14.
Lower limb amputee gait evaluation is allowed by kinematic and ground reaction force analysis. Motion capture is a non invasive means of gait evaluation. A protocol taking account of the foot and lower limb joints has been proposed. Thirty-five subjects participated in this study. Stride parameters and spatiotemporal parameters were recorded in a database. Correlations were established between the metatarsophalangeal joint, the walking speed and the propulsive forces. These correlations underline the functional significance of feet in the propulsion phase. This study aims at comparative analysis between lower limb amputees and sound people and at prosthetic feet evaluation.  相似文献   

15.
The modulation of the lower limb nociceptive withdrawal reflex elicited during late stance by a stimulus train with frequencies of 15 and 30 Hz delivered to the mid-forefoot, arch of the foot, and heel was investigated. Stimulation was delivered at four moments of the gait cycle between heel-off and toe-off. Stimulation at 15 Hz induced larger kinematic responses at the knee and hip. Reduced plantarflexion and increased dorsiflexion, compared to control steps, were evoked at the ankle; these kinematic responses were site dependent with minimum responses evoked by stimulation at the heel. The dorsiflexion response was largest when stimulating at toe-off and was larger for stimulation at 15 Hz than at 30 Hz. The muscle reflex responses were site modulated in tibialis anterior with largest responses evoked by stimulation at the arch of the foot and mid-forefoot, and phase and frequency modulated in soleus. This study presents a detailed assessment of the lower limb nociceptive reflex modulation and provides results, which might have application in the rehabilitation of the hemiparetic gait.  相似文献   

16.
This study was undertaken to demonstrate how principal component analysis (PCA) can be used: (a) to detect the main functional structure of actions taken by hip extensors and flexors during two consecutive gait cycles of able-bodied subjects, and (b) to determine whether or not symmetrical behaviour exists between right and left hip muscle power activity. Twenty young, healthy male subjects walked along a 13 m path at a freely-chosen speed. Applying curve structure detection methods such as PCA to walking patterns can provide insight into the functional tasks accomplished by the lower limbs of able-bodied and disabled subjects. PCA was applied as a classification and curve structure detection method to hip sagittal muscle power calculated for the right and left lower limbs. Over 70% of the information provided by the first four principal components (PCs) was chosen for further biomechanical interpretation. PC1 for both right and left sides mainly described the action taken by the hip extensors/flexors corresponding to the vertical component of ground force on the respective limbs during mid-stance. Propulsion and limb preparation were identified as the second and third tasks attributed to right hip muscle power, while between limb co-ordination was recognised as the second and third functional tasks of the left hip extensors/flexors. Balance was identified as the fourth main functional contribution of the hip extensors/flexors at the right limb while for the left limb, these muscles were mainly responsible for preparing the limb to enter into new gait cycle. PCA was able to identify the four main functional contributions of hip sagittal muscle power during able-bodied gait. PCA was also able to examine the existence of functional asymmetry in gait by highlighting different task priorities at the hip level for the right and left lower limbs.  相似文献   

17.
Locomotion requires uninterrupted transitions between limb extension and flexion. The role of contralateral sensorimotor signals in executing smooth transitions is little understood even though their participation is crucial to bipedal walking. However, elucidating neural interlimb coordinating mechanisms in human walking is difficult because changes to contralateral sensorimotor activity also affect the ipsilateral mechanics. Pedaling, conversely, is ideal for studying bilateral coordination because ipsilateral mechanics can be independently controlled. In pedaling, the anterior and posterior bifunctional thigh muscles develop needed anterior and posterior crank forces, respectively, to dominate the flexion-to-extension and extension-to-flexion transitions. We hypothesized that contralateral sensorimotor activity substantially contributes to the appropriate activation of these bifunctional muscles during the limb transitions. Bilateral pedal forces and surface electromyograms (EMGs) from four thigh muscles were collected from 15 subjects who pedaled with their right leg against a right-crank servomotor, which emulated the mechanical load experienced in conventional two-legged coupled-crank pedaling. In one pedaling session, the contralateral (left) leg pseudo-pedaled (i.e., EMG activity and pedal forces were pedaling-like, but pedal force was not allowed to affect crank rotation). In other sessions, the mechanically decoupled contralateral leg was first relaxed and then produced rhythmic isometric force trajectories during either leg flexion or one of the two limb transitions of the pedaling leg. With contralateral force production in the extension-to-flexion transition (predominantly by the hamstrings), rectus femoris activity and work output increased in the pedaling leg during its flexion-to-extension transition, which occurs simultaneously with contralateral extension-to-flexion in conventional pedaling. Similarly, with contralateral force production in the other transition (i.e., flexion-to-extension; predominantly by rectus femoris), hamstrings activity and work output increased in the pedaling leg during its extension-to-flexion transition. Therefore rhythmic isometric force generation in the contralateral leg supported the ongoing bifunctional muscle activity and resulting work output in the pedaling leg. The results suggest that neural interlimb coordinating mechanisms fine-tune bifunctional muscle activity in rhythmic lower-limb tasks to ensure limb flexion/extension transitions are executed successfully.  相似文献   

18.
Several theories of motor control posit that the nervous system has access to a neural representation of muscle dynamics. Yet, this has not been tested experimentally. Should such a representation exist, it was hypothesized that subjects who learned to control a virtual limb using virtual muscles would improve performance faster and show greater generalization than those who learned with a less dynamically complex virtual force generator. Healthy adults practiced using their biceps brachii activity to move a myoelectrically controlled virtual limb from rest to a standard target position with maximum speed and accuracy. Throughout practice, generalization was assessed with untrained target trials and sensitivity to actuator dynamics was probed by unexpected actuator model switches. In a muscle model subject group (n = 10), the biceps electromyographic signal activated a virtual muscle that pulled on the virtual limb with a force governed by muscle dynamics, defined by a nonlinear force–length–velocity relation and series elastic stiffness. A force generator group (n = 10) performed the same task, but the actuation force was a linear function of the biceps activation signal. Both groups made significant errors with unexpected actuator dynamics switches, supporting task sensitivity to actuator dynamics. The muscle model group improved performance as fast as the force generator group and showed greater generalization in early practice, despite using an actuator with more complex dynamics. These results are consistent with a preexisting neural representation of muscle dynamics, which may have offset any learning challenges associated with the more dynamically complex virtual muscle model.  相似文献   

19.
目的 通过对有、无跌倒史老年人进行步态运动学和动力学同步测量,对比步态生物力学特征,为老年人跌倒预防提供理论及实践依据。 方法 在居民社区及老年公寓招募 284 名 60 岁以上老年人作为测试对象,严格按照纳入和排除标准,按照既往 12 个月跌倒史分为跌倒组(有跌倒史)和非跌倒组(无跌倒史)。 采用三维录像解析和动态足底压力测量获取受试者自然行走步态的运动学和动力学参数。 测试数据采用独立样本 t 检验进行组间各因素差异性对照分析。 结果 跌倒组老年人自然行走步态过程中左足第 1 跖骨峰值力、双足足跟外侧冲量、右足大拇趾冲量等动力学参数与非跌倒组相比,差异均有统计学意义(P<0. 05);跌倒组老年人自然行走步态过程中右足第 2 跖骨受力面积、左足缓冲期接触时间、右足前脚掌触地时间、右足横向压力中心(center of pressure, COP)轨迹、左足触地髋角、双足峰值压力点重心位移等运动学参数与非跌倒组相比,差异均有统计学意义(P<0. 05)。 结论 与无跌倒史老年人相比,有跌倒史老年人行走过程中第 2 跖骨受力面积减小,足底触地时间延长,过渡期支撑稳定性下降,COP 横向位移增大,行进方向 COM 位移减小,意味着老年人下肢肌力下降,足侧向摆动增大,步行推进力减小,可导致姿势控制策略发生代偿性改变,潜在跌倒风险增大。 在临床评估中,应重点关注有跌倒史老年人群步态足底压力及运动学特征。  相似文献   

20.
In the present study, we investigated the influence of external force manipulations on movements in different directions, while keeping the amplitude invariant. Subjects (n=10) performed a series of cyclical anteroposterior, mediolateral, and oblique line-drawing movements (star drawing task) with their dominant limb in the horizontal plane. To dissociate kinematics from the underlying patterns of muscle activation, spring loading was applied to the forearm of the moving limb. Whereas spring loading of the arm resulted in considerable changes in the overall amount of muscle activation in the elbow and shoulder muscles, invariance was largely maintained at the kinematic level. Subjects produced the required movement directions and amplitudes of the star drawing largely successfully, irrespective of the force bias induced by the spring. These observations demonstrate motor equivalence and strengthen the notion that the spatial representation of drawing movements is encoded in the higher brain regions in a rather abstract form that is dissociated from the concrete muscle activation patterns underlying a particular movement direction. To achieve this goal, the central nervous system shifted between two or more muscle grouping strategies to overcome modulations in the interaction among posture-dependent (joint stiffness), dynamic (inertial), and elastic (spring) torque components in the joints. Spring loading induced general changes in the overall amount of EMG activity, which was largely muscle but not direction specific, presumably to represent the posture-dependent biasing force of the spring. Loading was mainly shown to increase muscle coactivation in the elbow joint. This indicates that the subjects tended to increase stiffness in the elbow to compensate for changes in the spring bias forces in order to minimize trajectory errors. Changes in muscle grouping of the shoulder antagonists were mainly a consequence of movement direction but were also affected partly by loading, presumably reflecting the influence of dynamic force components. Taken together, the results confirmed the hypothesis that changes of movement direction and direction of force in the end-effector generated specific sets of muscle grouping to overcome the dynamic requirements in the joints while keeping the kinematics largely unchanged. This suggests that directional tuning in muscle activity and changes in muscle grouping reflects the formation of appropriate internal models in the CNS that give rise to motor equivalence. Electronic Publication  相似文献   

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